Objectives: In this study we aimed to present our treatment results of
intramedullary nailing of femoral shaft fractures with compressive nailing
using proximal static hole and only distal dynamic hole with one screw. Methods: Forty-three patients who had
a fracture of the femoral shaft were managed between 2005 and 2008 with
intramedullary nailing and the use of only one screw for distal interlocking.
Prospectively we evaluated the union time, possible reoperation, fixation and
fracture alignment, range of knee motion and complications. Results: Union occurred within a mean
duration of 18.7 weeks. No failures of the fixation and fracture alignment and
no more than 1 cm
shortness were detected. The knee range of motion was all more than 90 degree.
Only one deep venous thrombosis was detected as complication. Conclusions: Compressive nailing using proximal hole and only
distal dynamic hole with one screw is a convenient technique for femur